Individual provider Active NPI

Jacqueline Christina Mauro, LMSW

  • Clinical Social Worker
  • Far Rockaway, NY
National Provider Identifier
1679052575
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
101656 Issued in NY
Practice address
1622 Central Ave
Far Rockaway, NY 11691-4002
Phone
(718) 327-9001
NPI assigned
Aug 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 105535 NY
Social Worker 104100000X 105535 NY
Clinical Social Worker 1041C0700X 101656 NY Primary

Addresses

Primary practice location

1622 Central Ave
Far Rockaway, NY 11691-4002

Mailing address

855 E Broadway Apt 3C
Long Beach, NY 11561-4747
Phone (516) 761-5845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260107003019 NY Practitioner - Clinical Social Worker 0547746729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Be Well Psychological Services, PLLCGroup PAC ID 8921335043, 2 clinicians

Practice addresses (Care Compare)

100 N Village Ave
Suite 27
Rockville Centre, NY 11570-3712
Phone (516) 277-6121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105535NYMDSocial Worker
101656NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Be Well Psychological Services, PLLC CurrentSince Dec 3, 2025 Accepting new patients
New Horizon Counseling Center Inc PastSince Jun 1, 2016 Accepting new patients

Locations

100 N Village Ave
Ste 27
Rockville Ctr, NY 11570
Phone (516) 277-6121

250 Merrick Rd
Unit 636
Rockville Ctr, NY 11571
Phone (516) 277-6121

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1679052575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 E BROADWAY APT 3C",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614747",
            "telephone_number": "516-761-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 CENTRAL AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914002",
            "telephone_number": "718-327-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURO",
        "first_name": "JACQUELINE",
        "middle_name": "CHRISTINA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "105535",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "105535",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "101656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

Verify at the official NPI Registry.